Active NPI 1205221405 Individual Practitioner Male Practitioner

Dr. Joshua Brad Oaks , MD

Internal Medicine • Bountiful, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joshua Oaks, MD is a certified Internal Medicine practicing in Bountiful, UT. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Oaks delivers high-quality medical care to the local community at 520 MEDICAL DR STE 300.

Dr. Oaks is affiliated with Joshua Oaks Md Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

520 Medical Dr Ste 300

Bountiful, UT 840108925

Telephone 8012921422

Fax 8012960436

Associated Practice Facility / Clinic

🏢 Joshua Oaks Md Pllc Facility NPI 1184125668

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bountiful, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -15.1 yrs vs City Avg

City Avg: 26.1 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

14 Specialists

Practicing in Bountiful, UT (700 Statewide)

Telehealth Adoption Rate

21.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Oaks (11 Years) 11 Yrs

Bountiful Specialty Average (26.1 Years) 26.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	743	320	$175.00	$120.98
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	424	248	$35.00	$15.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	300	43	$15.00	$0.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	270	270	$220.00	$121.94
G0444 Annual depression screening, 5 to 15 minutes	205	205	$30.00	$17.60
G0008 Administration of influenza virus vaccine	181	179	$40.00	$30.70
90653 Vaccine for influenza for injection into muscle	172	172	$100.00	$80.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	103	19	$40.00	$13.49
91320 Sarscv2 vac 30mcg trs-suc im	97	97	$300.00	$150.95
90480 Admn sarscov2 vacc 1 dose	97	97	$50.00	$40.74
93000 Routine ekg using at least 12 leads including interpretation and report	77	77	$58.00	$13.29
20610 Aspiration and/or injection of fluid from large joint	71	40	$130.00	$56.51
69210 Removal of impacted ear wax	70	57	$80.00	$43.31
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	65	54	$310.00	$258.23
93922 Ultrasound study of arm and leg arteries	60	60	$200.00	$74.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	40	$225.00	$168.95
81002 Urinalysis, manual test	55	41	$10.00	$3.35
71046 X-ray of chest, 2 views	39	31	$65.00	$31.31
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$145.00	$86.42
99496 Transitional care management services for problem of high complexity	20	18	$275.00	$264.76
94060 Test to measure expiratory airflow and volume changes before and after medication administration	19	19	$130.00	$36.20
99497 Advance care planning, first 30 minutes	15	14	$125.00	$78.17
17000 Destruction of skin growth	14	13	$180.00	$61.38
51798 Ultrasound measurement of bladder capacity after voiding	13	13	$35.00	$10.38
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$220.00	$144.14
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	11	11	$50.00	$40.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	779	333	$175.00	$121.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	302	42	$15.00	$1.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	281	281	$220.00	$121.69
G0008 Administration of influenza virus vaccine	180	175	$40.00	$29.17
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	176	171	$100.00	$75.09
93000 Routine ekg using at least 12 leads including interpretation and report	90	86	$58.00	$13.47
G0444 Annual depression screening, 5 to 15 minutes	86	86	$30.00	$17.34
20610 Aspiration and/or injection of fluid from large joint	73	36	$130.00	$55.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	51	$225.00	$170.75
69210 Removal of impacted ear wax	70	56	$80.00	$44.94
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	67	57	$310.00	$257.82
93922 Ultrasound study of arm and leg arteries	51	51	$200.00	$76.53
91320 Sarscv2 vac 30mcg trs-suc im	48	48	$300.00	$128.48
71046 X-ray of chest, 2 views	48	42	$65.00	$31.76
90480 Admn sarscov2 vacc 1 dose	48	48	$50.00	$39.10
81002 Urinalysis, manual test	43	37	$10.00	$3.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	16	$40.00	$13.38
99496 Transitional care management services for problem of high complexity	31	26	$275.00	$262.57
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$145.00	$86.13
94060 Test to measure expiratory airflow and volume changes before and after medication administration	27	27	$130.00	$36.05
94640 Inhalation treatment for airway obstruction or sputum production	18	18	$41.00	$8.32
99495 Transitional care management services for problem of at least moderate complexity	16	13	$220.00	$193.76
99497 Advance care planning, first 30 minutes	14	12	$125.00	$79.32
51798 Ultrasound measurement of bladder capacity after voiding	14	13	$35.00	$9.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	813	350	$175.00	$121.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	324	38	$15.00	$1.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	298	298	$220.00	$124.21
G0008 Administration of influenza virus vaccine	181	181	$40.00	$27.72
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	171	171	$100.00	$69.75
93000 Routine ekg using at least 12 leads including interpretation and report	130	126	$58.00	$13.50
69210 Removal of impacted ear wax	86	74	$80.00	$44.17
20610 Aspiration and/or injection of fluid from large joint	72	32	$130.00	$54.43
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	70	58	$310.00	$264.63
99213 Established patient office or other outpatient visit, typically 15 minutes	66	53	$145.00	$83.11
93922 Ultrasound study of arm and leg arteries	63	63	$200.00	$76.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	45	$225.00	$173.15
71046 X-ray of chest, 2 views	46	38	$65.00	$32.05
81000 Manual urinalysis test with examination using microscope, non-automated	37	33	$15.00	$3.89
99497 Advance care planning, first 30 minutes	34	34	$125.00	$81.54
81002 Urinalysis, manual test	24	22	$10.00	$3.43
99496 Transitional care management services for problem of high complexity	24	22	$275.00	$265.99
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	20	18	$50.00	$41.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	16	$40.00	$13.67
51798 Ultrasound measurement of bladder capacity after voiding	16	16	$35.00	$9.74
94060 Test to measure expiratory airflow and volume changes before and after medication administration	15	14	$130.00	$36.81
94640 Inhalation treatment for airway obstruction or sputum production	15	14	$41.00	$10.37
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$220.00	$161.01
17000 Destruction of skin growth	12	12	$180.00	$64.28
G0009 Administration of pneumococcal vaccine	12	12	$40.00	$25.85
99495 Transitional care management services for problem of at least moderate complexity	12	11	$220.00	$197.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	799	349	$167.07	$124.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	344	47	$6.98	$1.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	301	301	$159.67	$126.00
G0008 Administration of influenza virus vaccine	193	193	$40.00	$15.98
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	177	177	$100.00	$65.30
93000 Routine ekg using at least 12 leads including interpretation and report	111	108	$58.00	$14.12
69210 Removal of impacted ear wax	96	78	$75.63	$43.65
17003 Destruction of precancer skin growth, 2-14 growths	91	12	$30.00	$6.21
20610 Aspiration and/or injection of fluid from large joint	81	37	$95.19	$50.98
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	77	66	$298.96	$266.26
99497 Advance care planning, first 30 minutes	76	75	$125.00	$82.71
G0009 Administration of pneumococcal vaccine	57	52	$40.00	$15.92
99213 Established patient office or other outpatient visit, typically 15 minutes	57	53	$128.42	$86.86
93922 Ultrasound study of arm and leg arteries	52	52	$200.00	$80.66
81000 Manual urinalysis test with examination using microscope, non-automated	51	45	$15.00	$3.86
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	39	39	$173.46	$125.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	33	$217.03	$171.32
71046 X-ray of chest, 2 views	33	27	$65.00	$31.96
51798 Ultrasound measurement of bladder capacity after voiding	33	31	$35.00	$9.58
99496 Transitional care management services for problem of high complexity	29	27	$275.00	$260.13
17000 Destruction of skin growth	21	16	$180.00	$63.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	19	$32.50	$13.59
94640 Inhalation treatment for airway obstruction or sputum production	19	19	$30.58	$13.11
94060 Test to measure expiratory airflow and volume changes before and after medication administration	19	19	$77.89	$43.83
90670 Pneumococcal vaccine for injection into muscle	18	18	$291.67	$223.60
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$50.00	$19.16
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$71.15	$37.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	803	346	$137.93	$104.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	296	296	$132.16	$112.10
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	196	40	$5.00	$1.43
G0008 Administration of influenza virus vaccine	174	174	$40.00	$15.89
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	162	162	$100.00	$59.95
93000 Routine ekg using at least 12 leads including interpretation and report	139	139	$58.00	$16.26
G0009 Administration of pneumococcal vaccine	101	101	$40.00	$15.67
69210 Removal of impacted ear wax	84	69	$75.00	$45.68
81000 Manual urinalysis test with examination using microscope, non-automated	83	75	$15.00	$3.94
93922 Ultrasound study of arm and leg arteries	71	71	$200.00	$79.58
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	69	69	$129.78	$114.22
51798 Ultrasound measurement of bladder capacity after voiding	64	57	$35.00	$9.64
99213 Established patient office or other outpatient visit, typically 15 minutes	52	50	$100.00	$71.42
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	47	46	$280.21	$249.22
20610 Aspiration and/or injection of fluid from large joint	46	30	$70.00	$54.66
99497 Advance care planning, first 30 minutes	46	44	$122.28	$84.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$220.43	$160.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	35	$188.07	$142.41
99306 Initial nursing facility visit, typically 45 minutes per day	36	32	$418.00	$164.71
94060 Test to measure expiratory airflow and volume changes before and after medication administration	34	34	$75.00	$56.16
90670 Pneumococcal vaccine for injection into muscle	32	32	$261.88	$220.95
94640 Inhalation treatment for airway obstruction or sputum production	32	32	$30.00	$16.60
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	21	13	$198.00	$89.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	17	$30.00	$13.30
99496 Transitional care management services for problem of high complexity	21	19	$260.71	$233.04
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$50.00	$16.57
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$145.00	$144.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	613	287	$130.00	$104.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	221	221	$120.00	$112.09
G0009 Administration of pneumococcal vaccine	220	206	$31.68	$15.62
G0008 Administration of influenza virus vaccine	162	158	$34.81	$15.71
90653 Vaccine for influenza for injection into muscle	150	146	$75.00	$57.41
81000 Manual urinalysis test with examination using microscope, non-automated	139	127	$15.00	$3.88
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	135	135	$120.00	$108.50
93000 Routine ekg using at least 12 leads including interpretation and report	102	101	$58.00	$16.22
99213 Established patient office or other outpatient visit, typically 15 minutes	98	85	$100.00	$71.45
90670 Pneumococcal vaccine for injection into muscle	86	86	$230.06	$202.85
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	77	14	$5.00	$1.58
51798 Ultrasound measurement of bladder capacity after voiding	60	54	$34.67	$11.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$199.83	$160.79
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	58	19	$198.00	$89.82
99306 Initial nursing facility visit, typically 45 minutes per day	58	49	$417.10	$164.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	36	$175.00	$139.63
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	49	43	$280.00	$251.83
94640 Inhalation treatment for airway obstruction or sputum production	44	44	$28.75	$16.48
94060 Test to measure expiratory airflow and volume changes before and after medication administration	41	41	$75.00	$54.78
93922 Ultrasound study of arm and leg arteries	40	40	$200.00	$81.30
69210 Removal of impacted ear wax	28	25	$75.00	$46.34
20610 Aspiration and/or injection of fluid from large joint	23	14	$70.00	$52.88
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$243.81	$191.73
99496 Transitional care management services for problem of high complexity	20	16	$200.00	$188.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$1039.44	$199.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	14	$30.00	$16.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$145.88	$105.62
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$40.00	$17.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	271	207	$117.99	$104.32
G0008 Administration of influenza virus vaccine	129	129	$30.00	$19.49
99213 Established patient office or other outpatient visit, typically 15 minutes	124	111	$91.37	$70.50
90653 Vaccine for influenza for injection into muscle	121	121	$75.00	$53.58
G0009 Administration of pneumococcal vaccine	90	90	$30.00	$19.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	87	87	$120.00	$111.65
81000 Manual urinalysis test with examination using microscope, non-automated	72	68	$15.00	$3.89
93000 Routine ekg using at least 12 leads including interpretation and report	51	50	$58.00	$16.20
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	46	46	$119.57	$105.42
90670 Pneumococcal vaccine for injection into muscle	44	44	$225.00	$196.44
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	36	22	$180.00	$68.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	27	$162.73	$141.35
94060 Test to measure expiratory airflow and volume changes before and after medication administration	26	26	$66.92	$57.42
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	18	$198.00	$89.99
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	22	22	$280.00	$231.28
99306 Initial nursing facility visit, typically 45 minutes per day	20	20	$366.00	$164.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$503.00	$197.71
94664 Evaluation of use of breathing device	17	17	$20.00	$16.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$149.38	$139.99
94640 Inhalation treatment for airway obstruction or sputum production	16	16	$24.38	$17.32
82270 Stool analysis for blood to screen for colon tumors	13	13	$10.00	$4.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$203.08	$197.26
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	12	$340.00	$128.51
93922 Ultrasound study of arm and leg arteries	11	11	$200.00	$83.40

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License UT 10444860-1205

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Joshua Oaks Md Pllc

520 Medical Dr, Bountiful, UT 840108925

Phone: 8012921422

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Dr. William Draper , DO

Family Medicine

NPI 1053978387

Doctor of Osteopathic Medicine (D.O.)

Dr. Grant Christian , MD

Internal Medicine - Cardiovascular Disease

NPI 1073671442

Doctor of Medicine (M.D.)

Melanie Oliver , GNP

Nurse Practitioner - Gerontology

NPI 1528389723

Rachel Smith , FNP

Nurse Practitioner - Family

NPI 1548648900

Family Nurse Practitioner

Dr. Lisani Estopinan , MD

Internal Medicine

NPI 1588977243

Doctor of Medicine (M.D.)

Ryan Davis , APRN, FNP-C

Nurse Practitioner - Family

NPI 1639823362

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location February 21, 2018

Registered at 520 MEDICAL DR STE 300, BOUNTIFUL, UT 840108925 (Tel: 8012921422)

📍

Updated Business Mailing Address February 21, 2018

Registered at 520 MEDICAL DR STE 300, BOUNTIFUL, UT 840108925 (Tel: 8012921422)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2018

Internal Medicine (License #10444860-1205 in UT)

✅

NPI Profile Active April 03, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2015

Registered at 99 BEAUVOIR AVE, SUMMIT, NJ 079013533 (Tel: 9085222000)

📍

Updated Business Mailing Address April 03, 2015

Registered at 99 BEAUVOIR AVE, SUMMIT, NJ 079013533 (Tel: 9085222000)

👤

Provider Name / Credentials Updated April 03, 2015

Recorded as JOSHUA OAKS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2015

Student in an Organized Health Care Education/Training Program (License #0 in None)

🟢

Initial NPI Registration & Enumeration April 03, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205221405

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 03, 2015

Last Update: February 21, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

520 Medical Dr Ste 300

Bountiful, UT 840108925

Phone: 8012921422

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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